The paper studies the effectiveness of the complex application of dolphin therapy and subsequent rehabilitation aimed at restoring the motor capabilities of the hands. The study included 80 children with infantile cerebral palsy, a form of spastic diplegia. All patients underwent a comprehensive examination, including the study of motor capabilities and psychoemotional status. It was found that in children with severe disorders of the psychoemotional status, the most effective was the use of dolphin therapy, followed by rehabilitation of the motor abilities of the hands. The data of the repeated examination showed a significant improvement in comparison with similar indicators of patients in the control group of the psychoemotional status of the child, an increase in the motor capabilities (p <0.01) of the hands. Thus, the use of dolphin therapy can significantly improve the psychoemotional status of the child, which in general allows for significant progress in the motor development of the manipulative function.
dolphin therapy, cerebral palsy, rehabilitation
1. Levchenkova V. D., Batysheva T. T., Titarenko N. Yu. Klinicheskie osobennosti formirovaniya detskogo cerebral'nogo paralicha. Detskaya i podrostkovaya reabilitaciya. 2015;2(25):16-24.
2. Batysheva T. T., Bykova A. V., Vinog A. V. Detskiy cerebral'nyy paralich: sovremennye predstavleniya o probleme. Novosti mediciny i farmacii. 2012;420:31-35.
3. Vetchinkina Yu. V., Skoromec A. P. Poisk biomarkerov cerebral'noy gipoksii u novorozhdennyh. Izvestiya Komi nauchnogo centra UrO RAN. 2013;1(13):56-62.
4. Skoromec A. A., Dambinova S. A., D'yakonov M. M., Granstrem O. K., Bileckiy P. S., Sedova O. A., Skoromec A. P., Smolko D. G., Hunteev G. V., Shikuev A. V., Shumilina M. V. Biohimicheskie markery v diagnostike ishemii golovnogo mozga. Mezhdunarodnyy nevrologicheskiy zhurnal. 2009;5(27):15-20.
5. Dvorak F., Haberer I., Sitzer M., Foerch C. Characterisation of the diagnostic window of serum glial fibrillary acidic protein for the differentiation of intracerebral haemorrhage and ischaemic stroke. Cerebrovasc. Dis. 2009;27(1):37-41. doi:10.1159/000172632.
6. Hakimova G. R., Voronina T. A., Dugina Yu. L., Ertuzun I. A., Epschteyn O. I. Spektr farmakologicheskih effektov antitel k belku S 100 v realiz-aktivnoy forme i mehanizmy ih realizacii. Zhurnal nevrologii i psihiatrii. 2016; 4:100-113. doi:10.17116/jnevro201611641100-113.
7. Michetti F., Corvino V., Geloso M. C., Lattanzi W., Bernardini C., Serpero L., Gazzolo D. The S100B protein in biological fluids: more than a lifelong biomarker of brain distress. Journal of Neurochemistry. 2012;120(5):644-659. doi:10.1111/j.1471- 159.2011.07612.x.
8. Donato R., Sorci G., Riuzzi F., Arcuri C., Bianchi R., Brozzi F., Tubaro C., Giambanco I. S100B’s double life: Intracellular regulator and extracellular signal. Biochimica et Biophysica Acta (BBA) - Molecular Cell Research. 2009;1793(6):1008-1022. doi:10.1016/j.bbamcr.2008.11.009.
9. Rothermundt M., Peters M., Prehn J. H., Arolt V.. S100B in brain damage and neurodegeneration. Microsc. Res. Tech. 2003;60(6):614-32. https://doi. org/10.1002/jemt.10303.
10. Korfias S., Stranjalis G., Papadimitriou A., Psachoulia C., Daskalakis G., Antsaklis A., Sakas D. E.. Serum S-100B Protein as A Biochemical Marker of Brain Injury: Review of Current Concepts. CMC. 2006;13(30):3719-3731. doi:10.2174/092986706779026129.
11. Golosnaya G. S., Petruhin A. S., Markevich K. A., Trifonova O. E. Izmenenie urovnya belka S-100 u novorozhdennyh s perinatal'nym gipoksicheskim porazheniem CNS. Pediatriya. 2004;1:1-6.
12. Vink R. Magnesium in the CNS: recent advances and developments. Magnes. Res. 2016;29(3):95-101. doi:10.1684/mrh.2016
13. Tuner R. J., Vink R. Magnesium in the Central Nervous System. New perspectives in magnesium research. Nishizawa Y., Morii H., Durlach J. Springer. 2006. P.338-353. doi:10.1007/978-84628-483-0_28
14. Vladimirov A. A., Ezhov V. V., Ponomarenko G. N. Fizioterapiya. K.: Format. 2013;1:310-322.
15. Lloyd E., Lederman U., Tyurin Yu.N. Spravochnik po prikladnoy statistike. M.: Finansy i statistika. 1989–1990;(1):266; (2):211.
